Active NPI
Hulsey Dental Corporation
- Dentist
- San Diego, CA
National Provider Identifier
1427183441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D18346
- Legal business name
- HULSEY DENTAL CORPORATION
- Practice address
- 245 25TH St
San Diego, CA 92102-3013 - Phone
- (619) 236-9831
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Martin Hulsey III, D.D.S.,M.S.
- Title
- President
- Phone
- (619) 236-9831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D18346 | CA | Primary |
Addresses
Primary practice location
245 25TH St
San Diego, CA 92102-3013
Mailing address
5087 McGill Way
San Diego, CA 92130-2711
Phone (858) 792-9604
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427183441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5087 MCGILL WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302711",
"telephone_number": "858-792-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 25TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921023013",
"telephone_number": "619-236-9831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HULSEY DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HULSEY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-236-9831",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.D.S.,M.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "D18346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.